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WELL MONITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/ CH £vaeo> <br /> Facility # 7-� Job#: _ <br /> Address: �' ate- Date: <br /> City; ►VLALC.r4 Sampler: <br /> r ' <br /> --� - --Well-ID-- -- •'- Z- Well Condition: 0 •e- <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness: 3n- (product/water): _ _ IUri <br /> - Total Depth- - _ a�-3lo tr_ volume 2•R 0.17 3. 0.38 0.66 <br /> Depth to Water <br /> Factor(VF)) 6•= 2.50 - 12. 5.80 _ - <br /> �� • $ l - <br /> X VF _..Ia X a {ease volurm) — Estimated Purge Volurne: q�^ <br /> I <br /> Purge (Disposable Bailer) Sampling <br /> Equipment: Bailer Equipment: (Disposable Bailer) <br /> Stack Bailer <br /> Suction Pressure Bailer <br /> Grundfos Grab Sample <br /> Other: - Other: <br /> Starting Time: _ _ 3: S-7 Weather Conditions: <br /> Sampling Time: lLe Water Color: C1612!&h, �:E I W' Odor- PO <br /> ?urging Flow Rate: NIA ....... Sediment-Description:, ' i' <br /> Did well de=water7�— �4 -- -- —if yes. Time: Volume: <br /> Time Volum t = pH C 16ducdvlly= Temper D.Q. 03tp A11%linW <br /> �) janhosAm 1Ffw '4 * � (JaWL) (vi - -(aPp20) -� <br /> LABORATORY tNFOR knoN <br /> SAMPLE lG (#)- CONTAINER REFRIG. PRESERV.lYPE LABORATORY ANALYSES <br /> VVA VIA>.- ,r of +D <br /> — ,t�0 � eau �r �►-fl <br /> COMMENTS: • <br /> 4 <br />